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Driller Report Summary

WELL NUMBER

Well Number
20242371
Driller Tag Number
D0123213
Inspection Tag Number
-
Date Received
09/18/2024

WELL CONTRACTOR

License Number
906
Driller Name
Russell Grant Basford
Rig Operator
RUSSELL BASFORD

WELL LOCATION

County Name
HENRY
Driller Map No.
-
Quad Name
WEST-SANDY-DIKE
Quad Number
0019SW
Quad Nth
7
Address
479 BETHESDA RD
Address Line 2
-
City Name
PARIS
State Name
Tennessee
Zip
38242
Zip Ext
6691
Distance From Landmark (miles)
0.03
Direction From Landmark
N
Nearest Landmark
Hwy 69 S
Latitude
36.2841857
Longitude
-88.2474871

TYPE OF WORK

Date Drill Rig Left Site
05/30/2024
Type of Work
New Well

WELL COMPLETION DATA

Completion Date
05/30/2024
Total Depth (ft-bgs)
95
Depth To Bedrock (ft)
-
Static Level (ft-bgs)
50
Estimated Yield (GPM)
-

WATER-BEARING ZONES

WELL TEST

Tested By
Pumping
Static Level (ft-bgs)
50
Pumping Level (ft-bgs)
-
Test After Hours
24
Test After Mins
0
Test Yield (GPM)
15
Hours Prior to Test
0
Minutes Prior to Test
-

FORMATION LOG

05TOPSOIL
540CLAY
4065SAND
6580STRIPPY SAND
8095MEDIUM BROWN SAND LIGHT BROWN

WELL OWNER INFORMATION

Company Name
-
Owner Name
SCOTT FREDERICK
Address
479 BETHESDA ROAD
Address (Line 2)
-
City
PARIS
State
Tennessee
Zip Code
38242

PROPOSED USE OF WELL

Well Use
Residential

PRIMARY CASING

Diameter (in)
4
Top Set (in-above ground)
12
Primary Casing Depth (ft-bgs)
85
Primary Casing Type
Plastic
Wall Thickness
40
SDR#
26

WELL FINISH

Well Finish
Screen
From (ft-bgs)
85
To (ft-bgs)
95
Screen Type
Plastic
Slot Size (in)
0.01
Gravel Pack From (ft-bgs)
75
Gravel Pack To (ft-bgs)
95

BACK FILL MATERIAL

Bentonite Chips010
Cuttings1075

LINER CASING

Type
-
Diameter (in)
-
From (ft-bgs)
-
To (ft-bgs)
-
Packers Installed?
-
Packer 1 Depth (ft-bgs)
-
Packer 2 Depth (ft-bgs)
-

ANTICIPATED WATER QUALITY

Appearance
Clear
Taste
Good
Odor
-
Other
Fair

GENERAL INFORMATION

Well Disinfected?
Y
Well Capped?
Y
50ft From Septic System?
Y
Septic Distance Provided By
Property Owner
Drilling Process Water Obtained From
Well
Pump Installed By Driller?
Y

COMMENTS

Comments
homeowner verbal re: septic system 3/4 Grunsfos pump/42 glass std Galv well house TD 95ft SWL 50ft PS 80ft